Provider Demographics
NPI:1023356409
Name:FRASIER, RACHAEL PERRILL (MED, LPC, CSC)
Entity type:Individual
Prefix:MS
First Name:RACHAEL
Middle Name:PERRILL
Last Name:FRASIER
Suffix:
Gender:F
Credentials:MED, LPC, CSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 STONEHOLLOW DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2494
Mailing Address - Country:US
Mailing Address - Phone:281-812-7529
Mailing Address - Fax:281-812-3777
Practice Address - Street 1:1420 STONEHOLLOW DR
Practice Address - Street 2:SUITE C
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2494
Practice Address - Country:US
Practice Address - Phone:281-812-7529
Practice Address - Fax:281-812-3777
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-20
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67509101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional